OrganizationPortercare Adventist Health System(Colorado Neurovascular Specialists)Neurological SurgeryAllopathic & Osteopathic PhysiciansPractice Address7780 S Broadway, Suite 340, Littleton, CO 80122-2641(303) 730-4400(303) 643-1099PECOS EnrollmentBased on the most recent information from CMS, provider Portercare Adventist Health System does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:25 PM.Profile DetailsProvider ID1114268323Provider TypeOrganizationFull NamePortercare Adventist Health SystemOther NameColorado Neurovascular SpecialistsSubpartNoEnumeration Date3/13/2013Last Updated5/3/2016Contact InformationPractice LocationPractice Address7780 S Broadway, Suite 340, Littleton, CO 80122-2641Phone(303) 730-4400Fax(303) 730-4401Mailing LocationMailing AddressPO Box 911244, Denver, CO 80291-1244Phone(303) 643-1099Fax(303) 643-1176Authorized OfficialNameSkinner, Angela (Administrator Oma)Phone(303) 673-7175Provider TaxonomiesCodeDescriptionLicenseCode207T00000XPrimaryDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID93370253DescriptionMedicaidIssuerUnlistedColoradoID23583835DescriptionMedicaidIssuerUnlistedColoradoID76370259DescriptionMedicaidIssuerUnlistedColoradoID92508766DescriptionMedicaidIssuerUnlistedColorado